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Canaloplasty versus non-penetrating deep sclerectomy – a prospective, randomised study of the safety and efficacy of combined cataract and glaucoma surgery; 12-month follow-up
by
Jünemann, Anselm
, Wierzbowska, Joanna
, Byszewska, Anna
, Rękas, Marek
, Petz, Katarzyna
in
Aged
/ Cataract - complications
/ Cataract - physiopathology
/ Cataract - therapy
/ Descemet Membrane - surgery
/ Female
/ Filtering Surgery - adverse effects
/ Filtering Surgery - methods
/ Glaucoma
/ Glaucoma, Open-Angle - complications
/ Glaucoma, Open-Angle - physiopathology
/ Glaucoma, Open-Angle - surgery
/ Humans
/ Intraocular Pressure - physiology
/ Intraoperative Complications
/ Male
/ Medicine
/ Medicine & Public Health
/ Ophthalmology
/ Phacoemulsification - adverse effects
/ Phacoemulsification - methods
/ Postoperative Complications
/ Prospective Studies
/ Sclerostomy
/ Suture Techniques
/ Tonometry, Ocular
/ Trabecular Meshwork - surgery
/ Treatment Outcome
/ Viscosupplements - administration & dosage
/ Visual Acuity - physiology
2015
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Canaloplasty versus non-penetrating deep sclerectomy – a prospective, randomised study of the safety and efficacy of combined cataract and glaucoma surgery; 12-month follow-up
by
Jünemann, Anselm
, Wierzbowska, Joanna
, Byszewska, Anna
, Rękas, Marek
, Petz, Katarzyna
in
Aged
/ Cataract - complications
/ Cataract - physiopathology
/ Cataract - therapy
/ Descemet Membrane - surgery
/ Female
/ Filtering Surgery - adverse effects
/ Filtering Surgery - methods
/ Glaucoma
/ Glaucoma, Open-Angle - complications
/ Glaucoma, Open-Angle - physiopathology
/ Glaucoma, Open-Angle - surgery
/ Humans
/ Intraocular Pressure - physiology
/ Intraoperative Complications
/ Male
/ Medicine
/ Medicine & Public Health
/ Ophthalmology
/ Phacoemulsification - adverse effects
/ Phacoemulsification - methods
/ Postoperative Complications
/ Prospective Studies
/ Sclerostomy
/ Suture Techniques
/ Tonometry, Ocular
/ Trabecular Meshwork - surgery
/ Treatment Outcome
/ Viscosupplements - administration & dosage
/ Visual Acuity - physiology
2015
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Canaloplasty versus non-penetrating deep sclerectomy – a prospective, randomised study of the safety and efficacy of combined cataract and glaucoma surgery; 12-month follow-up
by
Jünemann, Anselm
, Wierzbowska, Joanna
, Byszewska, Anna
, Rękas, Marek
, Petz, Katarzyna
in
Aged
/ Cataract - complications
/ Cataract - physiopathology
/ Cataract - therapy
/ Descemet Membrane - surgery
/ Female
/ Filtering Surgery - adverse effects
/ Filtering Surgery - methods
/ Glaucoma
/ Glaucoma, Open-Angle - complications
/ Glaucoma, Open-Angle - physiopathology
/ Glaucoma, Open-Angle - surgery
/ Humans
/ Intraocular Pressure - physiology
/ Intraoperative Complications
/ Male
/ Medicine
/ Medicine & Public Health
/ Ophthalmology
/ Phacoemulsification - adverse effects
/ Phacoemulsification - methods
/ Postoperative Complications
/ Prospective Studies
/ Sclerostomy
/ Suture Techniques
/ Tonometry, Ocular
/ Trabecular Meshwork - surgery
/ Treatment Outcome
/ Viscosupplements - administration & dosage
/ Visual Acuity - physiology
2015
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Canaloplasty versus non-penetrating deep sclerectomy – a prospective, randomised study of the safety and efficacy of combined cataract and glaucoma surgery; 12-month follow-up
Journal Article
Canaloplasty versus non-penetrating deep sclerectomy – a prospective, randomised study of the safety and efficacy of combined cataract and glaucoma surgery; 12-month follow-up
2015
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Overview
Purpose
To compare outcomes of phaco-canaloplasty (PC) and phaco-non-penetrating deep sclerectomy (PDS) with a viscoelastic compound.
Methods
This study included 29 eyes after PC and 30 after PDS. Indications were uncontrolled primary open-angle glaucoma (POAG) and a cataract. Corrected distance visual acuity (CDVA), intraocular pressure (IOP), and number of medications were evaluated. Follow-up examinations were performed on days 1 and 7, and after 1, 3, 6, and 12 months. Complete and qualified success was an IOP ≤ 18 mmHg.
Results
At the 12-month follow-up, mean IOP decreased in the PC group from 19.0 ±6.9 mmHg to 12.6 ±2.7 mmHg, and in the PDS group, from 19.1 ±5.8 mmHg to 14.3 ±3.5 mmHg (
P
< 0.05). Both groups preoperatively and at 12 months showed no significant differences in IOP (
P
> 0.05). There was no statistically significant difference between the number of medications used (
P
> 0.05). Complete and qualified success rates for both groups were 79.0 % and 76.9 % (
P
= 0.701). The most frequent postoperative PC complication was hyphema (58.0 %); for PDS, bleb fibrosis was most frequent (26.7 %). No PC patients required postoperative management. PDS patients required postoperative interventions 58.7 % of the time, including a 5-fluorouracil (5-FU) injection (58.7 %), suture lysis (48.3 %), and needling (27.6 %).
Conclusions
Both PC and PDS lead to an effective decrease in IOP on a short-term follow-up basis and demonstrate similar efficacy and safety profiles. PDS patients required additional procedures including 5-FU injections, suture lysis, or needling. PC patients required no additional procedures.
Publisher
Springer Berlin Heidelberg,Springer Nature B.V
Subject
/ Female
/ Filtering Surgery - adverse effects
/ Glaucoma
/ Glaucoma, Open-Angle - complications
/ Glaucoma, Open-Angle - physiopathology
/ Glaucoma, Open-Angle - surgery
/ Humans
/ Intraocular Pressure - physiology
/ Intraoperative Complications
/ Male
/ Medicine
/ Phacoemulsification - adverse effects
/ Phacoemulsification - methods
/ Trabecular Meshwork - surgery
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